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Clin Rehabil. 2002 Mar;16(2):137-40.

The immediate effect of handling technique on range of movement in the hemiplegic shoulder.

Author information

1
Department of Health Studies, Brunel University, Middlesex, UK. sarah.tyson@man.ac.uk

Abstract

PURPOSE:

To assess the immediate effect of two different handling. techniques on range of flexion in the hemiplegic shoulder.

METHOD:

A randomized controlled design with within-subject comparison was used. Range of shoulder flexion was measured using a bubble goniometer. Range of passive movement was compared as the weak arm was lifted using an 'axilla hold' (when the gleno-humeral joint is supported and held in external rotation) and a 'distal hold' (when the arm is lifted at the forearm without shoulder support). Twenty-two people with arm weakness following stroke were recruited. They were inpatients or attending a day hospital in two NHS trusts, with no previous limitation of range or function of their arm. A paired t-test was used for analysis.

RESULTS:

Mean shoulder flexion for the axilla hold was 115.2 degrees (SD 38.45), and 97.7 degrees (SD 44.7) for the distal hold. This difference was significant at p < 0.001 (95% confidence interval (95% CI) 7.96, 26.88).

CONCLUSIONS:

Lifting the hemiplegic arm by holding the humerus under the axilla and maintaining external rotation produces greater range of flexion at the hemiplegic shoulder than a 'distal hold'.

PMID:
11911511
DOI:
10.1191/0269215502cr480oa
[Indexed for MEDLINE]

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